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� <br />i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetl, WA 98201 - 425-257-8810 - FAX 425-257•8857 - www evcrettwa org <br />APPLICATIONS ARE ACCEPT�D FROM B AM TO 4 PM � <br />ADDRESS: 7NOPERTV TA%a PENMIi p <br />,�-�. � � � �,� ,.T o � R I n 1 � _ nn G <br />la� new ron�IniQon S�ott PldfSCCU�.Visian_ ._'_I ot No <br />` R fi <br />yoq <br />rc� <br />BUIIDING PERMIT APPLICATION <br />(a;tacF coGY o� bng iec]�I OesUiphorl <br />�oncr[mad Q�S'��i3�`�y�I <br />Iy�Siate2�p � V C 2tiT W A. 9�203 <br />8 I L�c x <br />PhenNFina�i <br />DNTACT FOR PERMIT <br />����E m,,�� q Z S- 7 4 3- y 4�1( <br />�NTRACT PRICE OF WORK . . <br />��stmg Use o� Bund�ng HF�T SOURCC <br />�1 - —.._.__----- <br />roposedUseol6u�itlmg_l,CC.LSS6(��Y GA2ACaE Gas� F�ecv�c_ Oine�_ <br />udtl�ng type _ Smgie Famtly _._ Ouplex _Townhouse __ Mul1��Fam�ly _ Commernai <br />ype of pro�ect _ New _ �dd�bon _ Remodel _ Repa�r _ T I_ Sign _Spnnkler _Oemoid�on_C�ange of Use <br />esc�iplion ol Wo�k (adCl�onal spar.e p�ov�dedo� Me barw) 4���D ��p� �/�'jO (� PLj� � I P I N4 <br />Havc you started working wilhout a permit7 __YES �rv0 <br />MECMANICAL PERMIT APPLICATION <br />iypc ol Pro�ocl: _New _AOdn _ Alleolion _Repart <br />Show NumDerlM) of lufuree <br />-- air handhna umis <br />io�hes <br />OO�er <br />SPRI <br />ar <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of Pro�ecC _Now ___AdOn _Altarallon _Repan <br />Show Number (a1 0l /r+tures <br />I IodC� <br />Pi4.lm <br />ROo} drd�ns <br />Medical Gas <br />Otner <br />Other <br />I he�eby criUty Ihai i have �eae and evannneA Inrs nDp���a�ion and know Ihe samr to �e hue ar�d corrcct All piovivons o� laws and ortlmznces govern�ng <br />Ihs lype o� wo�k wdl be compl�eA wdh wnet�rr speufietl here��� o� nol The granhng ol e permn tloes not presume lo gwe aulr+only to vioiate or cancei <br />ihe provis�on o� xny other slate or IocBl �dw rP9uIBLng consiNclmn or I�e peNo�mance o� conslmclion Thal I am aulhonretl by IOe ovmer ol Ihis pmpe�ty <br />lo woik br w�i appllC.11ion �5 mt0e a�tl I comply wil� Ihe S a�e ConLaClo�s L �w 70 i7 RCW anA 296 200 WAC <br />�1�,� �/ ...� � ������r�/� <br />Owner/A �thorizetl Ag l Slgnalur ' ' Da�c l��ev�se07001 r) <br />